HomeMy WebLinkAboutHomestead_Bishop57569(R1A-10) 7RET$URER FOR.N TS-IA
t�"vT�TE BOARD OF ACCOII\T5, :009 PRESCRIBFD BY iHE DEPMT¢\T OF tACAL G0�'EN.�]fE\T Fl\A.\CE ICSI.I-'_?-8.1
Indi��iduals and married couples are limited to one homestead standard deduction. As the receipt of this
�� duction becomes more beoeficial, there is more incentive than ever for homestead fraud. Homestead fraud
causes higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
standard deduction to verify that they are eligible to receive the benefit and to provide additional identifying
informatiou necessary to allow county government to better monitor homestead filings. This information
will be kept confidential and can only be accessed by authorized county officials. T6e Department of Local
Go��ernment Finance will use this information to create tools that will help county officials eliminate
homestead fraud.
Taxoaver �\ame
John Richard / Paaicia M
Bishop
Conip(ete and re�urn m:
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weM xc m �e�
heuriCeO By Stah BoarE ol Taz Commissioners
Ta & FileE in DuD����e
CLAIM FOA �HOMESTEAD PROPERTY TAX CHEDIT FOR YEAR 19��
SEE BACK FOR FILING INSTRUCTIONS
�(We) �.�._. `�-'-�±%r ,� d— Y4.rc �1.,� '%J��, ��,A �. -- certify that on the lst day of
�vtarch, 19�, I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) C� owned oo �'� ���i0 �� t�
❑ are buying under contract
❑ have a beneficial inter�Jest ,in the taxpayer
Property Description in �.�-a�+ County ���-- Township
� � n
Taxing District (City, Town, Township): `�d�-�-�-+ ���
� Parcel Number or legal description shown on tax statement:
l� NE��y /4-.�-�o . �./4
If buying Ofl contract: Owners name ��� simple owner)
Contract recorded in Recorders Office - Record
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property: County Township
�hereby c�`tify the above statement is true, correct and complete.
. , /l � � � , D /�/J�v
a�a
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre imme�tel� �
surrounding residential imp(1g�?em�ts
Other Land l���
Total Land
Residential Improvements
Other Improvemenls
�dAY 3 ?.1°79
1 • �
� �
' � , , f,.
� �
� i-
TN ' Improvemenls - Line (6) plus (7) equals (8)
I��y certify the above is true. correct. and complete.
r
nssessor
True Cash
Value
(1) �",f o
(2� _
(3) Sfa
(a) /S /o
csl �s So
�s��66o
(�) F�
�8) ..3 / '�0
- ACTION BY AUDITOR -
Assessed
Valuation
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Homestead
Valuation
5'-aw-� s
Oa�e _
Approved: � < ��t-C.Q-o �/i c J Date: � �� � ;�